THOMAS J MONFORTI Athletic Trainer License verification

Business Entity

INACTIVE

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096000190

License Status

INACTIVE

Business

First Name

THOMAS J

Last Name

MONFORTI

Business Name

THOMAS J MONFORTI

Original Issue Date

04/24/1987

Effective Date

05/21/2004

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005